Participant's First Name:
*
Participant's Last Name:
*
Participant's Street Address :
*
Participant's City:
Participant's State:
Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*
Participant's Zip:
*
Participant's Age :
Please select participants age 12 13 14 15 16 17 18 19
*
Participant's School:
Participant's Grade:
Please select participants age 8 9 10 11 12
*
Participant's Date of Birth:
*
Participant's Email Address:
Participant's Phone:
*
Parent or Guardian First Name:
*
Parent or Guardian Last Name:
*
Parent or Guardian Email :
*
Parent or Guardian Evening Phone:
Parent or Guardians Day Phone:
*
* fields are required
Rainier Valley Rowing is designed to assist young people to participate in rowing who would not otherwise participate for any of the following reasons. Which of the following is true of your situation?
(Please check all that may apply):
RVR registration is a sliding scale $10 - $120/session. This fee includes all participation, transportation, daily snacks, racing uniforms, travel, and racing fees. Each annual program has two sessions: Fall and Spring.
Please contribute as much of this amount as you are capable.
